401k Plan data: PASSPORT HEALTH PLAN, INC. 401(K) PLAN plan

PASSPORT HEALTH PLAN, INC. 401(K) PLAN 401k Plan overview

Plan Name	PASSPORT HEALTH PLAN, INC. 401(K) PLAN
Plan identification number	001

PASSPORT HEALTH PLAN, INC. 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

PASSPORT HEALTH PLAN, INC. has sponsored the creation of one or more 401k plans.

Company Name: PASSPORT HEALTH PLAN, INC.

Employer identification number (EIN): 611325905

NAIC Classification: 524290

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PASSPORT HEALTH PLAN, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 JAMIE LONG CARL FELIX 2018-10-03
001 2016-01-01 JAMIE LONG GARY BENSING 2017-07-25
001 2016-01-01 CARL FELIX 2018-10-03
001 2015-01-01 JAMIE LONG GARY BENSING 2016-10-04
001 2014-01-01 JAMIE LONG GARY BENSING 2015-09-15
001 2013-01-01 BRANDY CARTER BRANDY CARTER 2014-07-30
001 2012-01-01 MARY KAY JETT MARY KAY JETT 2013-07-26
001 2011-01-01 MARY KAY JETT MARY KAY JETT 2012-10-15

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2021-01-01
001	2020-01-01
001	2019-01-01
001	2018-01-01
001	2017-01-01	JAMIE LONG	CARL FELIX	2018-10-03
001	2016-01-01	JAMIE LONG	GARY BENSING	2017-07-25
001	2016-01-01		CARL FELIX	2018-10-03
001	2015-01-01	JAMIE LONG	GARY BENSING	2016-10-04
001	2014-01-01	JAMIE LONG	GARY BENSING	2015-09-15
001	2013-01-01	BRANDY CARTER	BRANDY CARTER	2014-07-30
001	2012-01-01	MARY KAY JETT	MARY KAY JETT	2013-07-26
001	2011-01-01	MARY KAY JETT	MARY KAY JETT	2012-10-15

Plan Statistics for PASSPORT HEALTH PLAN, INC. 401(K) PLAN

401k plan membership statisitcs for PASSPORT HEALTH PLAN, INC. 401(K) PLAN

Measure Date Value
2021: PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 295
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 0
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 0
Number of participants with account balances 2021-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 207
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 109
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 185
Total of all active and inactive participants 2020-01-01 294
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 1
Total participants 2020-01-01 295
Number of participants with account balances 2020-01-01 187
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 234
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 107
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 99
Total of all active and inactive participants 2019-01-01 206
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 206
Number of participants with account balances 2019-01-01 204
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 233
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 153
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 81
Total of all active and inactive participants 2018-01-01 234
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 234
Number of participants with account balances 2018-01-01 230
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 253
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 148
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 84
Total of all active and inactive participants 2017-01-01 232
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 1
Total participants 2017-01-01 233
Number of participants with account balances 2017-01-01 228
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 530
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 145
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 100
Total of all active and inactive participants 2016-01-01 245
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 1
Total participants 2016-01-01 246
Number of participants with account balances 2016-01-01 234
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 16
2015: PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 528
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 495
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 35
Total of all active and inactive participants 2015-01-01 530
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 530
Number of participants with account balances 2015-01-01 498
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 16
2014: PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 302
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 409
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 119
Total of all active and inactive participants 2014-01-01 528
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 528
Number of participants with account balances 2014-01-01 490
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 9
2013: PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 268
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 258
Number of other retired or separated participants entitled to future benefits 2013-01-01 44
Total of all active and inactive participants 2013-01-01 302
Total participants 2013-01-01 302
Number of participants with account balances 2013-01-01 297
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 13
2012: PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 247
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 225
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 43
Total of all active and inactive participants 2012-01-01 268
Total participants 2012-01-01 268
Number of participants with account balances 2012-01-01 242
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 18
2011: PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 214
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 32
Total of all active and inactive participants 2011-01-01 246
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 246
Number of participants with account balances 2011-01-01 205
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0

Measure	Date	Value
2021: PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	295
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	0
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	0
Number of participants with account balances	2021-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	207
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	109
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	185
Total of all active and inactive participants	2020-01-01	294
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	1
Total participants	2020-01-01	295
Number of participants with account balances	2020-01-01	187
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	234
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	107
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	99
Total of all active and inactive participants	2019-01-01	206
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	206
Number of participants with account balances	2019-01-01	204
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	233
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	153
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	81
Total of all active and inactive participants	2018-01-01	234
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	234
Number of participants with account balances	2018-01-01	230
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	253
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	148
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	84
Total of all active and inactive participants	2017-01-01	232
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	1
Total participants	2017-01-01	233
Number of participants with account balances	2017-01-01	228
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	530
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	145
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	100
Total of all active and inactive participants	2016-01-01	245
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	1
Total participants	2016-01-01	246
Number of participants with account balances	2016-01-01	234
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	16
2015: PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	528
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	495
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	35
Total of all active and inactive participants	2015-01-01	530
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	530
Number of participants with account balances	2015-01-01	498
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	16
2014: PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	302
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	409
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	119
Total of all active and inactive participants	2014-01-01	528
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	528
Number of participants with account balances	2014-01-01	490
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	9
2013: PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	268
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	258
Number of other retired or separated participants entitled to future benefits	2013-01-01	44
Total of all active and inactive participants	2013-01-01	302
Total participants	2013-01-01	302
Number of participants with account balances	2013-01-01	297
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	13
2012: PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	247
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	225
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	43
Total of all active and inactive participants	2012-01-01	268
Total participants	2012-01-01	268
Number of participants with account balances	2012-01-01	242
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	18
2011: PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	214
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	32
Total of all active and inactive participants	2011-01-01	246
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	246
Number of participants with account balances	2011-01-01	205
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0

Financial Data on PASSPORT HEALTH PLAN, INC. 401(K) PLAN

Measure	Date	Value
2021 : PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-07-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-07-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-07-31	$0
Total income from all sources (including contributions)	2021-07-31	$384,216
Total loss/gain on sale of assets	2021-07-31	$0
Total of all expenses incurred	2021-07-31	$11,627,100
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-07-31	$11,618,700
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-07-31	$4,540
Value of total assets at end of year	2021-07-31	$0
Value of total assets at beginning of year	2021-07-31	$11,242,884
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-07-31	$8,400
Total interest from all sources	2021-07-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2021-07-31	$3,692
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-07-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2021-07-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2021-07-31	$3,692
Administrative expenses professional fees incurred	2021-07-31	$8,400
Was this plan covered by a fidelity bond	2021-07-31	No
If this is an individual account plan, was there a blackout period	2021-07-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-07-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-07-31	No
Participant contributions at end of year	2021-07-31	$0
Participant contributions at beginning of year	2021-07-31	$49,449
Participant contributions at end of year	2021-07-31	$0
Participant contributions at beginning of year	2021-07-31	$38,365
Value of other receiveables (less allowance for doubtful accounts) at end of year	2021-07-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2021-07-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-07-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2021-07-31	$0
Total non interest bearing cash at end of year	2021-07-31	$0
Total non interest bearing cash at beginning of year	2021-07-31	$104,977
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-07-31	No
Value of net income/loss	2021-07-31	$-11,242,884
Value of net assets at end of year (total assets less liabilities)	2021-07-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2021-07-31	$11,242,884
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-07-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-07-31	No
Were any leases to which the plan was party in default or uncollectible	2021-07-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-07-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-07-31	$11,036,146
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-07-31	$375,984
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-07-31	No
Was there a failure to transmit to the plan any participant contributions	2021-07-31	No
Has the plan failed to provide any benefit when due under the plan	2021-07-31	No
Contributions received in cash from employer	2021-07-31	$4,540
Employer contributions (assets) at end of year	2021-07-31	$0
Employer contributions (assets) at beginning of year	2021-07-31	$13,947
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-07-31	$11,618,700
Did the plan have assets held for investment	2021-07-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-07-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-07-31	Yes
Opinion of an independent qualified public accountant for this plan	2021-07-31	Unqualified
Accountancy firm name	2021-07-31	MCM CPAS & ADVISORS LLP
Accountancy firm EIN	2021-07-31	271235638
2020 : PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$0
Total income from all sources (including contributions)	2020-12-31	$2,568,356
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$1,762,181
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$1,759,881
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$1,072,708
Value of total assets at end of year	2020-12-31	$11,242,884
Value of total assets at beginning of year	2020-12-31	$10,436,709
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$2,300
Total interest from all sources	2020-12-31	$6,205
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$302,423
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$302,423
Administrative expenses professional fees incurred	2020-12-31	$2,300
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$3,000,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$782,306
Participant contributions at end of year	2020-12-31	$49,449
Participant contributions at beginning of year	2020-12-31	$121,864
Participant contributions at end of year	2020-12-31	$38,365
Participant contributions at beginning of year	2020-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-12-31	$1,307
Total non interest bearing cash at end of year	2020-12-31	$104,977
Total non interest bearing cash at beginning of year	2020-12-31	$1
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$806,175
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$11,242,884
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$10,436,709
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$11,036,146
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$10,313,537
Interest on participant loans	2020-12-31	$6,205
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$1,187,020
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$290,402
Employer contributions (assets) at end of year	2020-12-31	$13,947
Employer contributions (assets) at beginning of year	2020-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$1,759,881
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Unqualified
Accountancy firm name	2020-12-31	MCM CPAS & ADVISORS LLP
Accountancy firm EIN	2020-12-31	271235638
2019 : PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$3,432,860
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$4,158,452
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$4,154,402
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$1,299,689
Value of total assets at end of year	2019-12-31	$10,436,709
Value of total assets at beginning of year	2019-12-31	$11,162,301
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$4,050
Total interest from all sources	2019-12-31	$9,288
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$222,627
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$222,627
Administrative expenses professional fees incurred	2019-12-31	$4,050
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$3,000,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$940,550
Participant contributions at end of year	2019-12-31	$121,864
Participant contributions at beginning of year	2019-12-31	$165,856
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-31	$1,307
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$2,258
Other income not declared elsewhere	2019-12-31	$494
Total non interest bearing cash at end of year	2019-12-31	$1
Total non interest bearing cash at beginning of year	2019-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$-725,592
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$10,436,709
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$11,162,301
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$10,313,537
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$10,994,187
Interest on participant loans	2019-12-31	$9,288
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$1,900,762
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$359,139
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$4,154,402
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	MCM CPAS & ADVISORS LLP
Accountancy firm EIN	2019-12-31	271235638
2018 : PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$36,979
Total income from all sources (including contributions)	2018-12-31	$779,967
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$490,731
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$487,581
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$1,456,083
Value of total assets at end of year	2018-12-31	$11,162,301
Value of total assets at beginning of year	2018-12-31	$10,910,044
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$3,150
Total interest from all sources	2018-12-31	$10,116
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$253,224
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$253,224
Administrative expenses professional fees incurred	2018-12-31	$3,150
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$3,000,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$952,803
Participant contributions at end of year	2018-12-31	$165,856
Participant contributions at beginning of year	2018-12-31	$161,002
Participant contributions at end of year	2018-12-31	$0
Participant contributions at beginning of year	2018-12-31	$24,521
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$130,072
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-12-31	$2,258
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-12-31	$1,801
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2018-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$36,979
Other income not declared elsewhere	2018-12-31	$-846
Total non interest bearing cash at end of year	2018-12-31	$0
Total non interest bearing cash at beginning of year	2018-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$289,236
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$11,162,301
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$10,873,065
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$10,994,187
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$10,712,998
Interest on participant loans	2018-12-31	$10,116
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-938,610
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$373,208
Employer contributions (assets) at end of year	2018-12-31	$0
Employer contributions (assets) at beginning of year	2018-12-31	$9,722
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$487,581
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	MCM CPAS & ADVISORS LLP
Accountancy firm EIN	2018-12-31	271235638
2017 : PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$36,979
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$36,733
Total income from all sources (including contributions)	2017-12-31	$2,901,857
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$1,100,445
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$1,097,120
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$1,371,784
Value of total assets at end of year	2017-12-31	$10,910,044
Value of total assets at beginning of year	2017-12-31	$9,108,386
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$3,325
Total interest from all sources	2017-12-31	$8,023
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$214,760
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$214,760
Administrative expenses professional fees incurred	2017-12-31	$3,325
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$3,000,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$821,702
Participant contributions at end of year	2017-12-31	$161,002
Participant contributions at beginning of year	2017-12-31	$138,136
Participant contributions at end of year	2017-12-31	$24,521
Participant contributions at beginning of year	2017-12-31	$25,809
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$229,018
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-12-31	$1,801
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-12-31	$2,140
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-12-31	$36,979
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-12-31	$36,733
Other income not declared elsewhere	2017-12-31	$-49
Total non interest bearing cash at end of year	2017-12-31	$0
Total non interest bearing cash at beginning of year	2017-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$1,801,412
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$10,873,065
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$9,071,653
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$10,712,998
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$8,933,209
Interest on participant loans	2017-12-31	$8,023
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$1,307,339
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$321,064
Employer contributions (assets) at end of year	2017-12-31	$9,722
Employer contributions (assets) at beginning of year	2017-12-31	$9,092
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$1,097,120
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	MCM CPAS & ADVISORS LLP
Accountancy firm EIN	2017-12-31	271235638
2016 : PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$36,733
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$88,336
Total income from all sources (including contributions)	2016-12-31	$4,141,298
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$4,702,797
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$4,685,697
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$3,291,589
Value of total assets at end of year	2016-12-31	$9,108,386
Value of total assets at beginning of year	2016-12-31	$9,721,488
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$17,100
Total interest from all sources	2016-12-31	$12,281
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$167,773
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$167,773
Administrative expenses professional fees incurred	2016-12-31	$17,100
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$1,235,550
Participant contributions at end of year	2016-12-31	$138,136
Participant contributions at beginning of year	2016-12-31	$439,745
Participant contributions at end of year	2016-12-31	$25,809
Participant contributions at beginning of year	2016-12-31	$55,852
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$1,544,828
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$2,140
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$1,365
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-12-31	$36,733
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-12-31	$88,336
Other income not declared elsewhere	2016-12-31	$1,916
Total non interest bearing cash at end of year	2016-12-31	$0
Total non interest bearing cash at beginning of year	2016-12-31	$54
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$-561,499
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$9,071,653
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$9,633,152
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$8,933,209
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$9,198,326
Interest on participant loans	2016-12-31	$12,281
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$667,739
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$511,211
Employer contributions (assets) at end of year	2016-12-31	$9,092
Employer contributions (assets) at beginning of year	2016-12-31	$26,146
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$4,685,697
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	MOUNTJOY CHILTON MEDLEY LLP
Accountancy firm EIN	2016-12-31	271235638
2015 : PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$88,336
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$2,584,649
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$493,819
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$484,494
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$2,702,314
Value of total assets at end of year	2015-12-31	$9,721,488
Value of total assets at beginning of year	2015-12-31	$7,542,322
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$9,325
Total interest from all sources	2015-12-31	$15,937
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$179,610
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$179,610
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$3,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$1,618,749
Participant contributions at end of year	2015-12-31	$439,745
Participant contributions at beginning of year	2015-12-31	$291,794
Participant contributions at end of year	2015-12-31	$55,852
Participant contributions at beginning of year	2015-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$352,415
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$1,365
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$741
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-12-31	$88,336
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$0
Other income not declared elsewhere	2015-12-31	$-114
Administrative expenses (other) incurred	2015-12-31	$9,325
Total non interest bearing cash at end of year	2015-12-31	$54
Total non interest bearing cash at beginning of year	2015-12-31	$150
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$2,090,830
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$9,633,152
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$7,542,322
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$9,198,326
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$7,162,492
Interest on participant loans	2015-12-31	$15,937
Value of interest in common/collective trusts at end of year	2015-12-31	$0
Value of interest in common/collective trusts at beginning of year	2015-12-31	$63,142
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-312,879
Net investment gain or loss from common/collective trusts	2015-12-31	$-219
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$731,150
Employer contributions (assets) at end of year	2015-12-31	$26,146
Employer contributions (assets) at beginning of year	2015-12-31	$24,003
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$484,494
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	MOUNTJOY CHILTON MEDLEY LLP
Accountancy firm EIN	2015-12-31	271235638
2014 : PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$2,394,673
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$1,063,026
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$1,046,823
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$1,931,011
Value of total assets at end of year	2014-12-31	$7,542,322
Value of total assets at beginning of year	2014-12-31	$6,210,675
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$16,203
Total interest from all sources	2014-12-31	$12,289
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$144,375
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$144,375
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$3,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$1,187,412
Participant contributions at end of year	2014-12-31	$291,794
Participant contributions at beginning of year	2014-12-31	$292,510
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$152,685
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$741
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$0
Other income not declared elsewhere	2014-12-31	$2,490
Administrative expenses (other) incurred	2014-12-31	$16,203
Total non interest bearing cash at end of year	2014-12-31	$150
Total non interest bearing cash at beginning of year	2014-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$1,331,647
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$7,542,322
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$6,210,675
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$7,162,492
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$5,865,646
Interest on participant loans	2014-12-31	$12,289
Value of interest in common/collective trusts at end of year	2014-12-31	$63,142
Value of interest in common/collective trusts at beginning of year	2014-12-31	$52,519
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$302,918
Net investment gain or loss from common/collective trusts	2014-12-31	$1,590
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$590,914
Employer contributions (assets) at end of year	2014-12-31	$24,003
Employer contributions (assets) at beginning of year	2014-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$1,046,823
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	MOUNTJOY CHILTON MEDLEY LLP
Accountancy firm EIN	2014-12-31	271235638
2013 : PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2013 401k financial data
Total income from all sources (including contributions)	2013-12-31	$2,842,836
Total of all expenses incurred	2013-12-31	$426,587
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$411,375
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$2,004,590
Value of total assets at end of year	2013-12-31	$6,210,675
Value of total assets at beginning of year	2013-12-31	$3,794,426
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$15,212
Total interest from all sources	2013-12-31	$12,082
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$104,818
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$104,818
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$3,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$897,157
Participant contributions at end of year	2013-12-31	$292,510
Participant contributions at beginning of year	2013-12-31	$292,655
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$261,600
Administrative expenses (other) incurred	2013-12-31	$15,212
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$2,416,249
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$6,210,675
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$3,794,426
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$5,865,646
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$3,464,973
Income. Interest from loans (other than to participants)	2013-12-31	$12,082
Value of interest in common/collective trusts at end of year	2013-12-31	$52,519
Value of interest in common/collective trusts at beginning of year	2013-12-31	$36,798
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$721,346
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$845,833
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$411,375
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	MOUNTJOY CHILTON MEDLEY LLP
Accountancy firm EIN	2013-12-31	271235638
2012 : PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2012 401k financial data
Total income from all sources (including contributions)	2012-12-31	$1,650,281
Total of all expenses incurred	2012-12-31	$565,026
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$549,896
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$1,266,501
Value of total assets at end of year	2012-12-31	$3,794,426
Value of total assets at beginning of year	2012-12-31	$2,709,171
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$15,130
Total interest from all sources	2012-12-31	$10,824
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$76,734
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$76,734
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$3,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$700,545
Participant contributions at end of year	2012-12-31	$292,655
Participant contributions at beginning of year	2012-12-31	$233,664
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$209,359
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$1,085,255
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$3,794,426
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$2,709,171
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$3,464,973
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$2,449,969
Interest on participant loans	2012-12-31	$10,824
Value of interest in common/collective trusts at end of year	2012-12-31	$36,798
Value of interest in common/collective trusts at beginning of year	2012-12-31	$25,629
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$296,222
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$356,597
Employer contributions (assets) at end of year	2012-12-31	$0
Employer contributions (assets) at beginning of year	2012-12-31	$-91
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$549,896
Contract administrator fees	2012-12-31	$15,130
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	MOUNTJOY CHILTON MEDLEY LLP
Accountancy firm EIN	2012-12-31	271235638
2011 : PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2011 401k financial data
Total income from all sources (including contributions)	2011-12-31	$2,767,394
Total of all expenses incurred	2011-12-31	$58,223
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$54,853
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$2,743,587
Value of total assets at end of year	2011-12-31	$2,709,171
Value of total assets at beginning of year	2011-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$3,370
Total interest from all sources	2011-12-31	$4,319
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$53,044
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$53,044
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$3,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$324,366
Participant contributions at end of year	2011-12-31	$233,664
Participant contributions at beginning of year	2011-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$2,276,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Income. Non cash contributions	2011-12-31	$0
Value of net income/loss	2011-12-31	$2,709,171
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$2,709,171
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$2,449,969
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$0
Interest on participant loans	2011-12-31	$4,319
Value of interest in common/collective trusts at end of year	2011-12-31	$25,629
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-33,556
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$143,221
Employer contributions (assets) at end of year	2011-12-31	$-91
Employer contributions (assets) at beginning of year	2011-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$54,853
Contract administrator fees	2011-12-31	$3,370
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	MOUNTJOY CHILTON MEDLEY LLP
Accountancy firm EIN	2011-12-31	271235638

Form 5500 Responses for PASSPORT HEALTH PLAN, INC. 401(K) PLAN

2021: PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	Yes
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: PASSPORT HEALTH PLAN, INC. 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	First time form 5500 has been submitted	Yes
2011-01-01	Submission has been amended	Yes
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	PASSPORT HEALTH PLAN, INC.
Employer identification number (EIN):	611325905
NAIC Classification:	524290